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.Li-:i'.-1(;r;p U.1,liAi,'!G <br />'f 7B ;fi.i rri .,�-CB-:51.1 . �. <br />ELECTRICAL PERMIT APPL.ICATION <br />CITY OF EVERETT PERMIT SERVICES � <br />3200 CE�AR STREGT, EVERETi, WA 98201 <br />425-257-8610 - FAX 425-257-8857 — �•n•nv.everettv+a.org <br />APPLICATIONS ARE ACCEPTED FROM 8 Ah1 TO 4 PM <br />�Zi Havf �l� Ev �Szel <br />PROJECT ADD ESS <br />o,�,��� <br />Q 2 I i� U-i- PN e� E�l <br />�dcll AdJrese Cily <br />! Tenanl .'dallAdOrass <br />. I -` <br />� . - � �_ � 4i5 gra,���c�v <br />E!ec(ri=al Centracto! Ltall Atldress <br />� <br />� Ci�1�I�r�iH�ioi��1 <br />, Slafe Ll.ens� Numbor <br />CI!y <br />:o i N255o I SZ� <br />SIaleRip Phone <br />SIa1NDv <br />Cl/ S;atulZ'�.P <br />2� " <br />CcNract Pnca ct Work <br />POone <br />C��(�' <br />Phona <br />Propo;ed Use of Bu:lding Conlac: Person (Plan Revew) <br />Descriplian at Wo�k to Bo �ono: AC�].�! Q G I GU i"t" 9`� COi�1 VP.�'I`" G G+ �C,t�.r'� <br />.NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CA�LE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 1105 <br />I hore6y curtdy fhaf I havc road and axominod this applicaGon and knaw U�e ;amo to 6o fiuu a <br />cmrvc(. All prov/smns ol/ows nnd ordinanr.os �ovoming Ihis (ypu ol �sork tvlll bo rcmflc(ed <br />�vhe(har speci6od horoln or noL Thu granfing af a ponnd doos not rasume (o givo na(hunry t <br />violafo or cancol tho prvvl;lons of any oth,o� stafo or local Is�v roguPn(ing con;ln�c6on nr (ho <br />poAomianco o! ccnstiuclion. Tha( f am nulhonzod by (ho ou�nor ol fhis �cptlrty fo podomi (ho <br />nortc far which opplicafion is mudo and I comply wdh (tro Sfafa L'onlracPrs Law 70.27 RCW or <br />29S.2G0 WAC. <br />FEE � , <br />50°a � <br />; <br />nd ' <br />a I�toS-osy <br />,d . <br />I <br />�� �_. � l�-.^ .«. i t "� k : <br />; , � � '') ji( <br />�. tF r��%�`, 'h � ',IF <br />� � r � f N A�ir! <br />r-,.1 •`;s_ �' �� ,'. ai <br />�a" <br />. � '. ��y�� � :. <br />�a...\"`A.._. +. i.:-.. ..n+„�,�.e+'�•.�,� . <br />r <br />� Fa�t "Lei4 f 'y�"g� <br />'4MMr,"kPY��d�"aAM'' � i-� ..�9MA'1N e. . 1, k ..?. vi::t <br />ra'�.,e�wRa�"�r"T ,-�, ..ar e;. +�` ' sxr« .,, r. �t,�"�" RF <br />R �N+�" "�".r..e. � �"i'w te-�'^�'���..y, �' ��C�. .�w, s.�� ._ . "`"�.. �*e <br />Y � .MV . �w n��' � ✓��`Y� '.e rtiv .:.��f - •�'��i'w�n W✓�Y <br />� � .�. s . .� �. �,+ .. <br />� <br />� � ._. �. . .....�,-- 5._�. �x. n.�. t �� :� . ��-»�.,.,a-.«. �»r�`_ .r, <br />^iA� <br />. � :w�h�- ,M�. � A � � w . <br />� f / J <br />w✓�" � a�t�l <br />,i !.i .. xr�'r <br />. <br />^',_" ' .. ..' '� � � � <br />... . . __ � . .. ..-I., <br />